MEDICARE: MILANDRI ELIZABETH KRIEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246X00000X	Cardiovascular Specialist/Technologist

General Provider Information

NPI Number	:	1134612567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MILANDRI ELIZABETH KRIEL

Provider Business Mailing Address
First Line	:	14603 HUEBNER RD BLDG 28
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78230-5497
Country	:	US
Telephone Number	:	210-614-7074
Fax Number	:	210-614-7091

Provider Business Practice Location Address
First Line	:	14603 HUEBNER RD BLDG 28
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78230-5497
Country	:	US
Telephone Number	:	210-614-7074
Fax Number	:	210-614-7091

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2018
Last Update Date	:	06/11/2018

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Directions to “ MILANDRI ELIZABETH KRIEL ” Practice Location

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